Nurse Practitioner​/Physician Assistant-Primary Care

Job Description

Independently completes thorough evaluations of pediatric patients (from neonates to adolescents and young adults). Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter‑professional team. Coordinates recommendations to optimize patient care and foster collaborative practice.

Incorporates a broader organization awareness into decision‑making and interpersonal relationships.

Independently completes thorough evaluations of pediatric patients (from neonates to adolescents and young adults). Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter‑professional team. Coordinates recommendations to optimize patient care and foster collaborative practice.

Incorporates a broader organization awareness into decision‑making and interpersonal relationships.

Primary Care. Serves as the PCP for a panel of patients, emphasizing comprehensive care and continuity of care in a PCMH model. Routinely incorporates quality metrics and reports from CT Children’s and payers. Reviews reports and consults from other care providers and independently generates a plan of care, including for those with complex or uncommon conditions and proactive outreach. Supports less experienced APPs and trainees in panel management skills.

• Clinical knowledge. Integrates a breadth of medical knowledge that includes complicated and atypical conditions to guide patient care, incorporating evidence‑based practice and current literature to support care.
• Diagnostic Evaluation. Prioritizes and optimizes evaluation based on risks, benefits, indications, and alternatives to clarify the diagnosis(es). Interprets clinical significance of diagnostic study results while considering study limitations.

Gathers, filters, prioritizes, and synthesizes patient history to develop a differential diagnosis in real‑time for complicated or atypical presentations in addition to the uncomplicated or typical.

• Clinical reasoning. Integrates clinical facts (e.g., history, exam, tests, consultations, etc.) into a unifying diagnosis(es); reappraises in real time to avoid diagnostic error.
• Organize and prioritize patient care. Organizes, prioritizes, and collaborates with others on patient care responsibilities even when patient volume approaches the capacity of the individual or facility; anticipates and triages urgent and emergent issues.
• Patient management. Develops and implements informed management plans for complicated and atypical diagnoses, in addition to common and typical diagnoses, with the ability to modify plans as necessary.

Applies full competency in core procedures. May assist in mentoring less experienced APPs in the performance of procedures. Please reference the "APP Procedures Listing" for those relevant to the Medical Specialty.

• Patient and family centered communication. Establishes a culturally competent and therapeutic relationship in straightforward and complex encounters with patients/families, including those with ambiguity and/or conflict. Elicits patient/family values and incorporates awareness of these in communications with patient/family and in patient care. Uses shared decision making with patient/family to make a personalized care plan.
• Interpersonal and team communication. Facilitates and maintains communication with supervising physician and inter‑professional team. Coordinates recommendations to optimize patient care and foster collaborative practice.
• Communication within Health Care System. Concisely documents updated, prioritized, diagnostic and therapeutic reasoning, including anticipatory (preventive) guidance, in the patient…